ATI RN
ATI RN Mental Health Proctored Exam Questions
Question 1 of 5
A nurse responds to a patient's statement with silence based on the rationale that this technique is used primarily to do which of the following?
Correct Answer: B
Rationale: The correct answer is B: Permit the patient to gather his or her thoughts. Silence in communication allows the patient time to organize their thoughts and feelings before responding. This can lead to more meaningful and introspective dialogue. Choice A is incorrect because silence is not primarily used for the nurse to determine a response, but rather to facilitate patient expression. Choice C is incorrect as silence is meant to encourage patient self-reflection, not the nurse's. Choice D is incorrect as passive listening involves more than just remaining silent, it also requires attentiveness and nonverbal cues.
Question 2 of 5
A nursing instructor is preparing for a class discussion on polypharmacy and older adults. Which of the following would the instructor expect to include?
Correct Answer: B
Rationale: The correct answer is B because older adults are more likely to experience adverse reactions due to physiological changes that affect drug metabolism and elimination. Aging can lead to decreased organ function, altered drug distribution, and increased sensitivity to medications. This increased risk for adverse reactions is a key consideration when discussing polypharmacy in older adults. Choice A is incorrect because the focus is on drug abuse, which is not the main concern when discussing polypharmacy in older adults. Choice C is incorrect because medications are typically started at lower doses and adjusted as needed to minimize adverse effects. Choice D is incorrect because age-related pharmacokinetic changes can actually reduce drug effectiveness or increase the risk of toxicity, rather than enhance therapeutic effectiveness.
Question 3 of 5
The nurse is working with a patient who will be signing a commitment to treatment statement. After teaching the patient about this statement, the nurse determines the need for additional instruction when the patient states which of the following?
Correct Answer: A
Rationale: Rationale: Choice A is incorrect because signing the commitment to treatment statement does not guarantee that the patient will not commit suicide. The correct answer is D, as it aligns with the purpose of the commitment statement, which is to agree to participate in necessary treatment. Choice B is incorrect as it focuses on emergency treatment only. Choice C is incorrect as it does not address the commitment to treatment itself. Therefore, the patient needs additional instruction to understand the purpose of the commitment statement is to participate in necessary treatment, not to prevent suicide.
Question 4 of 5
A client who is receiving lithium comes to the clinic for an evaluation. During the visit, the client reports a fine hand tremor. Which action by the nurse would be most appropriate?
Correct Answer: C
Rationale: Step-by-step rationale: 1. Fine hand tremor is a common side effect of lithium. 2. Assisting the client in minimizing exposure to stressors is most appropriate as stress can exacerbate tremors. 3. Stress management can help reduce tremors without needing to adjust medication dosage. 4. Obtaining blood drug level is not necessary for managing tremors. 5. Taking medication with meals or elevating hand would not directly address the underlying cause of tremors.
Question 5 of 5
A psychiatric mental health nurse working in the community is planning an educational program for fifth and sixth grade teachers. Which of the following would the nurse include?
Correct Answer: A
Rationale: The correct answer is A because discussing strategies to counteract the role media plays in encouraging eating disorders is crucial for promoting healthy body image and preventing eating disorders among students. Media portrayal of unrealistic body standards can negatively impact children's self-esteem and body image. By educating teachers on strategies to address these influences, they can help students develop a positive relationship with food and their bodies. Choices B, C, and D are incorrect because: B: Focusing prevention efforts solely on female students overlooks the fact that eating disorders can affect individuals of all genders. C: Allowing students to eat without undue attention is important, but solely focusing on this aspect does not address the broader issue of media influence. D: Peer pressure can still be a significant factor in influencing behaviors, even among fifth and sixth-grade students. Dismissing its relevance can lead to overlooking important preventive measures.